| NPI | 1679084768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY COREY Owner 508-622-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 17932) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-11-30 |